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For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 • 574.235.5J:5: 540 S 5 �( <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: <br />II. BUSINESS DATA <br />New Renewal X <br />A. Business Name: Episcopal Cathedral of Saint James <br />B. Business Address: 117 N Lafayette Blvd <br />City: South Bend State: IN Zip: 46601 <br />C. Mailing Address (If different from above): <br />City: State: Zip: <br />D. Business Telephone Number: 574-232-4837 Cell: 574-276-5649 <br />E. Business Fax Number: <br />F. E-Mail Address: finance@stjamessouthbend.org <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 24 <br />H. Total Number of Parking Spaces at facility: 24 <br />I. Hours during which vehicles may be stored: 24 hours <br />H. Premises are (check one): Leased by Applicant Owned by Applicant X <br />If Leased: <br />Owner's Name: <br />Owner's Business Address. <br />City: <br />Owner's Residential Address: <br />City: <br />Zip: <br />State: Zip: <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond. <br />For Office Use Only <br />Application Filed JAN 1 7 2025 Public Works Approval <br />Application Fee Paid,lA(1I i !r IIl`I?, License Fee Paid <br />Sent to Dept. License Number Q5 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Not Approved <br />Reason <br />Ci <br />Irl <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />6114-'. <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: April 8, 2025 <br />